Cochrane · systematic review · CD012393

Interventions for autumn exacerbations of asthma in children

Pike, KC, Akhbari, M, Kneale, D, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

AirwaysAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
12
current version
GRADE rated
9
No studies
3
Included studies
NR
No studies 3 · 25%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 8.3%Moderate 7 · 58.3%High 1 · 8.3%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Omalizumab compared to usual care for autumn asthma exacerbations in children

Population: autumn asthma exacerbations in children
4 questions
OutcomeEffectEvidenceStatus / GRADE
Exacerbations
Omalizumab vs usual care
OR 0.48 [0.25, 0.92]1 study · 348 participantsModerate
Downgraded: imprecision
Exacerbations
Omalizumab vs usual care
OR 0.37 [0.17, 0.81]1 study · 184 participantsModerate
Downgraded: imprecision
Exacerbations
Omalizumab vs usual care
OR 0.63 [0.22, 1.79]1 study · 164 participantsModerate
Downgraded: imprecision
Adverse events
Omalizumab vs usual care
OR 0.99 [0.61, 1.58]1 study · 361 participantsModerate
Downgraded: imprecision

A boost of inhaled corticosteroids compared to usual care for autumn asthma exacerbations in children

Population: autumn asthma exacerbations in children
2 questions
OutcomeEffectEvidenceStatus / GRADE
Exacerbations
A boost of inhaled corticosteroids vs usual care
OR 0.86 [0.32, 2.3]1 study · 173 participantsModerate
Downgraded: imprecision
Adverse events
A boost of inhaled corticosteroids vs usual care
OR 0.67 [0.34, 1.33]1 study · 176 participantsModerate
Downgraded: imprecision

Leukotriene receptor antagonist compared to usual care for autumn asthma exacerbations in children

Population: autumn asthma exacerbations in children
3 questions
OutcomeEffectEvidenceStatus / GRADE
Exacerbations
Leukotriene receptor antagonist vs usual care
no estimate extractedNRNo studies
Exacerbations
Leukotriene receptor antagonist vs usual care
OR 0.5 [0.17, 1.46]2 studies · 1326 participantsLow
Downgraded: inconsistency, indirectness
Adverse events
Leukotriene receptor antagonist vs usual care
OR 0.91 [0.63, 1.32]2 studies · 1326 participantsHigh

Behavioural intervention compared to usual care for autumn asthma exacerbations in children

Population: autumn asthma exacerbations in children
3 questions
OutcomeEffectEvidenceStatus / GRADE
Exacerbations
Behavioural intervention vs usual care
no estimate extractedNRNo studies
Exacerbations
Behavioural intervention vs usual care
OR 1.13 [0.95, 1.33]1 study · 10481 participantsModerate
Downgraded: indirectness
Adverse events
Behavioural intervention vs usual care
no estimate extractedNRNo studies